甘肃省60所医疗机构消毒供应中心管理现状调查  

Current situation of disinfection and supply center management in 60 medical institutions in Gansu province

作　　者：杨亚红 张浩军[1] 胡兰文[1] 蔡玲[1] 张映华[1] 张肖红[1] 樊玉清 张菊[2] YANG Ya-hong;ZHANG Hao-jun;HU Lan-wen;CAI Ling;ZHANG Ying-hua;ZHANG Xiao-hong;FAN Yu-qing;ZHANG Ju(Gansu Provincial Hospital,Lanzhou,Gansu 730000,China)

机构地区：[1]甘肃省人民医院感染管理科,甘肃兰州730000 [2]成都市龙泉驿区第一人民医院医院感染管理科,四川成都610100

出　　处：《中华医院感染学杂志》2019年第20期3191-3195,共5页Chinese Journal of Nosocomiology

基　　金：甘肃省卫生行业科研计划基金资助项目(GSWSKY2017-49);四川省预防医学会医院感染预防与控制研究基金资助项目(SCGK201820)

摘　　要：目的了解甘肃省医疗机构消毒供应中心现状,为制定宏观管理措施提供科学依据。方法2018年1-12月选取甘肃省60所医疗机构(二级51所,三级9所)进行问卷调查及实地调研并对调查结果进行分析。结果二级和三级医疗机构有独立消毒供应室分别占35.29%和88.89%、洁污通道分开分别占15.69%和88.89%、医疗器械清洗操作流程合理分别占31.37%和88.89%、集中管理分别占9.80%和88.89%、手工清洗分别占94.12%和33.33%、有软水处理系统分别占7.84%和77.78%、湿包分别占72.55%和11.11%、器械生锈分别占92.16%和33.33%、包布破损及毛边分别占82.35%和11.11%、清洗器械时防护不到位分别占68.63%和11.11%,差异均有统计学意义(P<0.05),三级医疗机构各项设施优于二级医疗机构。结论甘肃省医疗机构消毒供应中心现状不容乐观,大部分消毒供应中心建筑布局不合理,清洗相关设备配置率低,清洗包装质量不达标居多,消毒供应中心人员培训不足。应加强监管和培训,提高器械清洗及灭菌质量,保障医疗安全,积极探索建立区域化消毒供应中心,确保器械灭菌质量。OBJECTIVE To understand the current situation of Central Strerile Supply Department in medical institutions in Gansu Province,and to provide scientific basis for the formulating macro-management measures.METHODS From Jan.to Dec.2018,60medical institutions(51secondary and 9tertiary)in Gansu Province were selected for questionnaire surveys and field surveys,and the results were analyzed.RESULTS A total of 60secondary and tertiary medical institutions have independent central strerile supply departments,accounting for 35.29%and 88.89%,respectively,and the cleansing channels account for 15.69%and 88.89%,respectively.The operating procedures for cleaning medical devices,centralized management,manual cleaning and soft water treatment system account for 31.37%and 88.89%,9.80%and 88.89%,94.12%and 33.33%,7.84%and 77.78%,respectively.Wet bags account for 72.55%and 11.11%,rusty equipment account for 92.16%and 33.33%,and cloth loss and rough edges account for 82.35%and 11.11%,respectively.Inadequate protection of cleaning equipment account for 68.63%and 11.11%,respectively.There was significant difference in all the data(P<0.05).The facilities of three-level medical institutions are generally better than those of secondary medical institutions.CONCLUTIONThe current situation of the Central Strerile Supply Department of medical institutions in Gansu Province is not optimistic.The layout of most Central Strerile Supply Departments is unreasonable,the distribution rate of cleaning-related equipment is low,the quality of cleaning and packaging is not up to the standard,and the personnel training in Central Strerile Supply Department is insufficient.It is necessary to strengthen the supervision and training,improve the quality of equipment cleaning and sterilization,ensure medical safety,and to actively explore the establishment of regional Central Strerile Supply Department to ensure the quality of equipment sterilization.

关 键 词：医疗机构 消毒供应中心 区域化 集中管理 

分 类 号：R183[医药卫生—流行病学]